BENEDICT EDWARD CISZEK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

BENEDICT

Middle

EDWARD

Last Name

CISZEK

Suffix

Business Name

BENEDICT EDWARD CISZEK MD

Original Issue Date

04/16/2007

Effective Date

06/24/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/24/2023